When Is It Time for Breast Augmentation Revision?

When Is It Time for Breast Augmentation Revision?

Year after year, breast augmentation reigns supreme as the most popular cosmetic surgery in the United States. At my plastic surgery practice, my associates and I perform hundreds of breast augmentations annually. Although the overwhelming majority of these patients won’t experience any complications, revisionary surgery might be necessary for some. If you’ve undergone breast augmentation surgery, you might have wondered which concerns warrant a second surgery.

Here’s a list of 3 common reasons women pursue breast augmentation revision:

  • Desired change in size or type: During your consultation and pre-op appointments, you’ll likely discuss the pros and cons of the different types and sizes of implants. Your surgeon will answer your questions and help you decide which is best for you. You might even try on implant sizers to get a better sense of your final results. But sometimes people change their minds after surgery. If you’ve decided that you’d like to switch out your saline implants for silicone (or vice versa), or you’re not as satisfied with your new cup size as you thought you’d be, revisionary surgery can make adjustments to better suit you.
  • Breast implant deflation: Occasionally, saline implants can weaken and rupture, causing leakage and a “deflated” appearance. Though the rupture isn’t harmful (the saline is absorbed naturally by the body), you’ll notice the affected breast gradually getting smaller over the course of several hours. In this case, a breast implant revision is necessary to restore a symmetrical appearance and to remove the damaged implant. Silicone implants can also rupture, although today’s cohesive implants won’t lose their shape.
  • Implant coverage issue: Also known as “rippling,” this complication is most common in women whose implants were placed above the chest muscle (subglandular placement) and who have thin skin. Saline implants also carry a slightly elevated risk of rippling. This can be identified by a rippled appearance in the breast. Though it’s not usually visible over clothing, it’s noticeable when you’re undressed. Revisionary surgery can improve the appearance of rippling, and in some cases, your surgeon may move the implant to a submuscular location.

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